NPI 1528029634 · live from the CMS NPI Registry
Eye Center Of Southern Connecticut PC
Ophthalmology in Hamden, CT. National Provider Identifier 1528029634, active.
NPI record
| NPI | 1528029634 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 2880 Old Dixwell Ave, Hamden, CT 06518 |
| Practice phone | 203-248-6365 |
| Mailing address | 2880 Old Dixwell Avenue, Hamden, CT 06518 |
| Enumerated | March 29, 2006 |
| Last updated | October 5, 2018 |
| Authorized official | Paul Masi, President |
| Other names | Eye Center A Medical Surgical Group |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — |
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.